Search › Illinois › Surgical Physician Assistant
Jeremy Houtakker, P.A
NPI 1902092109 · on the registry since 2007
Practice
- Address
- 750 E Terra Cotta Ave
Suite C
Crystal Lake, IL 60014 - Phone
- (815) 455-0800
- Fax
- (815) 455-2895
- Organisation at this address
- Athletico, Ltd.
Center For Neurology Sc
Mceneaney & Lesniak Associates
Mercy Health System Corporation
Crystal Lake Regenerative Pain Associates PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 27
Registry record
- Primary taxonomy
- Surgical Physician Assistant
363AS0400X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-09-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois